Perioperative nutrition and enhanced recovery after surgery in gastrointestinal cancer patients. A position paper by the ESSO task force in collaboration with the ERAS society (ERAS coalition)

Sandrucci, Sergio; Beets, Geerard L.; Braga, Marco; Dejong, Kees; Demartines, Nicolas

doi:10.1016/j.ejso.2017.12.010

Cited by 73 publications

(62 citation statements)

References 66 publications

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“…Malnutrition is a risk factor for postoperative complications and mortality [29,30] and impairs long-term survival [31]. A joint task force considered inadequate nutritional support for cancer patients 'ethically unacceptable' [32]. In our series, TPN was associated with AL (OR 3.72, P = 0.002), complications (OR 4.02, P < 0.001) and mortality (8.69, P = 0.006).…”

Section: Perioperative Management and Medicationsmentioning

confidence: 64%

Predictors of complications and mortality following left colectomy with primary stapled anastomosis for cancer: results of a multicentric study with 1111 patients

et al. 2018

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Section: Perioperative Management and Medicationsmentioning

confidence: 64%

Predictors of complications and mortality following left colectomy with primary stapled anastomosis for cancer: results of a multicentric study with 1111 patients

et al. 2018

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“…Despite the recognized benefits of ERAS programs, implementation of evidence‐based guidelines is a continual challenge . ERAS programs are complex; they must be adapted to local contexts and require extensive education, cooperation, and collaboration between the patient, healthcare provider, and health system .…”

Section: Introductionmentioning

confidence: 99%

“…1,13 ERAS programs are recognized as important drivers of standardized perioperative nutrition care and have provided the foundation of key perioperative nutrition care elements, which have been incorporated into clinical practice guidelines for surgical patients. [1][2][3][4]6,14 Despite the recognized benefits of ERAS programs, 1,3,4 implementation of evidence-based guidelines is a continual challenge. 2,4,8 ERAS programs are complex; they must be adapted to local contexts and require extensive education, cooperation, and collaboration between the patient, healthcare provider, and health system.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4]6,14 Despite the recognized benefits of ERAS programs, 1,3,4 implementation of evidence-based guidelines is a continual challenge. 2,4,8 ERAS programs are complex; they must be adapted to local contexts and require extensive education, cooperation, and collaboration between the patient, healthcare provider, and health system. 7,15 To facilitate education and training for successful adoption of ERAS protocols, the ERAS Society has a formalized ERAS Implementation Program (EIP).…”

Section: Introductionmentioning

confidence: 99%

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Implementation of an Enhanced Recovery After Surgery Program Can Change Nutrition Care Practice: A Multicenter Experience in Elective Colorectal Surgery

Martin

Gillis

Atkins

et al. 2018

J Parenter Enteral Nutr

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“…The increased incidence of postoperative complications in malnourished patients is obvious [31][32][33]. Therefore, the question arises as to whether glutamine is involved in the process.…”

mentioning

confidence: 99%

“When is Glutamine Supplementation Beneficial?”

Matras¹,

Monika²,

Bartoszewska³

et al. 2018

J Nutr Disorders Ther

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The role of glutamine in metabolic processes has been quite extensively researched and described, though no consensus exists as to its role in treatment. It is considered significant mainly for ICU patients; though no clear criteria for including glutamine in treatment have been defined. It is known that glutamine should be administered as a complement to nutritional treatment, and not independently. The purpose of the paper was to identify practical criteria for determining the clinical benefits of glutamine supplementation. The study was performed in the years 2007-2015 at the 1st Department of General and Transplantation Surgery and Nutritional Therapy of the Lublin Medical University in Lublin, Poland. It included patients scheduled for surgery due to a gastrointestinal cancer. The final study group included 105 patients, 48 female and 57 male. We found that low blood concentration of glutamine was correlated with a higher incidence of postoperative complications. ROC analysis allowed for identification of glutamine concentration below which there is a very high risk of complications. The threshold glutamine value identified was 205.15 nmol/ml. Low total lymphocyte count and serum albumin concentration can help identify patients in whom glutamine supplementation can decrease postoperative complication incidence, especially in the case of malnourished patients. Glutamine supplementation before a scheduled surgical procedure may benefit patients with a preoperative glutamine concentration below 205.15 nmol/ml. Glutamine supplementation can benefit malnourished patients.

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Perioperative nutrition and enhanced recovery after surgery in gastrointestinal cancer patients. A position paper by the ESSO task force in collaboration with the ERAS society (ERAS coalition)

Cited by 73 publications

References 66 publications

Predictors of complications and mortality following left colectomy with primary stapled anastomosis for cancer: results of a multicentric study with 1111 patients

Predictors of complications and mortality following left colectomy with primary stapled anastomosis for cancer: results of a multicentric study with 1111 patients

Implementation of an Enhanced Recovery After Surgery Program Can Change Nutrition Care Practice: A Multicenter Experience in Elective Colorectal Surgery

“When is Glutamine Supplementation Beneficial?”

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